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  Reseller Application Form

Company Registration No.:   VAT Number:    

Standard Reseller - Find out more...
Zero Joining or Membership Fee
White Label Reseller - Find out more...
£149.99(+VAT) Annual Membership Fee

Invoice Your Customers Directly
(A referral code will be issued and commission will be paid into your account after each new account application.)
Invoice You, NOT Your Customers
(A voucher code will be issued and commission will be discounted on each new account application)
Credit or Debit Card Cheque Bank Transfer Approved Credit Account

Credit Card Type:  
Credit Card Number:  
Name on Card:  
Start Date (if shown):  
Expiry Date  
Issue Number (Maestro Only):  
CVC Security Number:  
What is this?
Registered to the Billing Address:  
Cheques Payable to:   Ice Media (London) Ltd.
Post Cheques to:   iceBackup Online Backup Systems
24 - 26 Arcadia Avenue
Finchley Central
London N3 2JU

Make sure you have your order reference number on the back of the cheque.
Accounts will only be activated when cleared funds have been received.

Please send payment to the following account:

Bank: HSBC Bank Plc.
Account: Ice Media (London) Ltd.
Account Number: 61396218
Sort-Code: 40-07-01

Accounts will only be activated when cleared funds have been received.

Please provide us with your registered account details:

Account Number:
Registered Postcode:

Accounts will only be activated when approved credit has been confirmed.

Commission Payment

As a reseller, we will pay any commission directly into your bank account. We will hold onto the commission payable for the duration of the 30-Day Money Back Guarantee period on each account signed up. Please provide your complete bank account details for us to transfer the funds across.

Terms & Conditions (View)
Tick here to show that you have read and accept the Terms & Conditions of Sale.
Service Level Agreement (View)
Tick here to show that you have read and accept the Service Level Agreement.
End User Software License Agreement (View)
Tick here to show that you have read and accept the End User Software License Agreement.
The above terms must be passed on to your clients unconditionally. Any additional terms or conditions
you specify or provide will not be supported by iceBackup.


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